文章摘要
脑红蛋白在蛛网膜下腔出血后氧化应激中的作用及其神经保护机制研究
The Role of Neuroglobin in Oxidative Stress Following Subarachnoid Hemorrhage and Its Neuroprotective Mechanisms
投稿时间:2025-01-20  修订日期:2025-01-20
DOI:
中文关键词: 蛛网膜下腔出血  脑红蛋白  氧化应激  ROS  线粒体  神经保护
英文关键词: Subarachnoid haemorrhage  Neuroglobin  oxidative stress  ROS  neuroprotection
基金项目:甘肃省科技计划项目(重点研发计划)(21YF11FA003) ;兰州市城关区科技计划项目(2021SHFZ0028);甘肃省卫生行业科研计划项目(GSWGKY2017-58)
作者单位邮编
郭志坚 兰州大学第二医院 730000
郭延威 兰州大学第二医院 
孙守元* 兰州大学第二医院 730000
摘要点击次数: 2
全文下载次数: 0
中文摘要:
      蛛网膜下腔出血(SAH)是一种急性脑血管疾病,通常由脑动脉瘤破裂引发,导致血液渗入蛛网膜下腔。尽管SAH仅占脑卒中5%,但其高致死率和致残率使其成为重大健康隐患。SAH急性期致死率高达50%,幸存者中约30-40%的患者将面临认知、运动和情感障碍等严重神经功能损伤。氧化应激在SAH后的继发性脑损伤中发挥关键作用,过量的活性氧(ROS)损伤细胞,引发血脑屏障破坏、脑水肿和神经元损伤。脑红蛋白(Ngb)作为一种神经保护因子,能够通过清除ROS、调节抗氧化酶系统和抑制线粒体介导的凋亡,发挥显著的神经保护作用。Ngb在维持线粒体功能、促进ATP生成和增强细胞抗氧化能力方面也具有重要作用,能够有效减轻氧化应激对神经系统的损伤。深入研究Ngb在SAH后氧化应激中的作用,揭示其调控ROS清除和抗氧化酶活性的机制,具有重要的理论意义和临床应用价值,为开发基于Ngb的治疗策略提供科学依据,进而改善SAH患者的预后。
英文摘要:
      Subarachnoid haemorrhage (SAH) is an acute cerebrovascular disease usually triggered by rupture of a cerebral aneurysm, resulting in blood leakage into the subarachnoid space. Although SAH accounts for only 5% of strokes, its high lethality and disability make it a major health problem.The acute phase of SAH is lethal in up to 50% of cases, and approximately 30-40% of survivors will face severe neurological impairments, such as cognitive, motor, and affective deficits. Oxidative stress plays a key role in secondary brain damage after SAH, where excess reactive oxygen species (ROS) damage cells, triggering blood-brain barrier disruption, brain oedema and neuronal damage. Neuroglobin (Ngb), as a neuroprotective factor, can exert significant neuroprotective effects by scavenging ROS, regulating the antioxidant enzyme system, and inhibiting mitochondria-mediated apoptosis.Ngb also plays an important role in the maintenance of mitochondrial function, the promotion of ATP production, and the ?enhancement of cellular antioxidant capacity, which can effectively alleviate the damage of oxidative stress on the nervous system. An in-depth study of the role of NGB in oxidative stress after SAH, revealing its mechanism of regulating ROS scavenging and antioxidant enzyme activity, has important theoretical significance and clinical application value, and provides a scientific basis for the development of NGB-based therapeutic strategies to improve the prognosis of SAH patients.
View Fulltext   查看/发表评论  下载PDF阅读器
关闭